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为进一步观察永久性房颤患者房室结消融及永久起搏器治疗的长期疗效,对10例持续性房颤病史6月-7年、反复发作快速心室率而导致严重临床症状及心功能恶化、用药物治疗无效或不能耐受者采用房室结消融加双心室VVI起搏(6例)或单心室VVI起搏(4例)。随访平均17.7±4.4月。结果表明,术后起搏器夺获心率>95%,很少有室性心律失常发作;术后心功能及LVEF均明显改善(P<0.05),IVEDD减少(P< 0.05);随访期间无死亡及脑血管病事件发生。结论;永久性房颤伴快速心室率不能用药控制的患者,房室结消融加永久起搏器治疗可明显改善生活质量及心功能,不增加病死率及脑血管意外。
In order to further observe the long-term curative effect of atrioventricular node ablation and permanent pacemaker treatment in patients with permanent atrial fibrillation, severe clinical symptoms and worsening of cardiac function were induced in 10 consecutive patients with atrial fibrillation history from June to July, with recurrent rapid ventricular rate , With drug treatment ineffective or can not tolerate atrioventricular node ablation plus biventricular VVI pacing (6 cases) or single ventricle VVI pacing (4 cases). The average follow-up was 17.7 ± 4.4 months. The results showed that the postoperative pacemaker captured heart rate> 95%, seldom have ventricular arrhythmia; heart function and LVEF were significantly improved (P <0.05), IVEDD decreased (P <0.05); no Death and cerebrovascular disease occur. Conclusion: Permanent atrial fibrillation with rapid ventricular rate can not be controlled by medication in patients with atrioventricular node ablation plus permanent pacemaker treatment can significantly improve quality of life and cardiac function, without increasing mortality and cerebrovascular accidents.